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Individual
MR. TARIK SHARIF KHAN
Active
Individual
MR. TARIK SHARIF KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN1023898
DC
363LF0000X
Family Nurse Practitioner
Primary
SP013502
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102945836
—
PA
Enumeration date
05/29/2012
Last updated
07/09/2021
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